Managed care
Subtitle: what it is and how it works
By: Peter R. Kongstvedt.
Edition: 3rd ed.
Publisher: Jones and Bartlett Publishers; Jones & Bartlett Publishers
Published: 2009
Place of publication: Sudbury, Mass
Language: eng
Number of pages: 275
ISBN-13: 9780763759117
Subjects: Managed care plans (Medical care) -- United States; Managed Care Programs -- organization & administration -- United States; Delivery of Health Care, Integrated -- United States
Description: Provides an introduction to the foundations of the American managed health care system. Written in clear and accessible language, this handy guide offers an historical overview of managed care and then walks the reader through the organizational structures, concepts, and practices of the managed care industry. This thorough revision has been completely updated with all the newest data on this dynamic industry and features all new sections on: pay for performance, consumer directed health plans, new approaches to care management, as well as advances in information technology.
Notes: Some of the chapters are adapted from previously published works by the same author.

Includes bibliographical references and index.
Table of contents: title: The origins of managed health care; title: Types of managed care organizations and integrated health care delivery systems; title: Network management and reimbursement; title: Management of medical utilization and quality; title: Internal operations; title: Medicare and Medicaid; title: Regulation and accreditation in managed care.